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Sunday, May 19, 2013
My sister has cancer of the urethra tube and bladder and had a kidney removed in November 2007. She is being treated with chemotherapy. Since the surgery, she has had a constant tight, full feeling in her stomach that appears to be getting worse. She throws up a lot. She had CT scan and they did not find anything. She is miserable. What can this possibly be?
If your sister is under 70 years old, she is most likely receiving a drug called Cisplatin. This can cause nausea and vomiting for 5 days after it is given. Your sister most likely has reflux in her stomach and esophagus. A medicine like Prilosec or Nexium can make her feel much better in 1-2 days. Also, salty soups can help a lot. She should stay away from Boost, Ensure, or Instant Breakfast all of which can make her feel much worse. She needs to drink at least 2 quarts of fluid per day. If she does not, she could get constipated which will make the situation much worse. If she is currently constipated, she can take a dulcolax suppository which will help considerably.
Thomas Olencki, DO
Clinical Professor of Medical Oncology
College of Medicine
The Ohio State University